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Individual

HALEY J SCHMOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 532-1507
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(952) 222-1994

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
ND
2355S0801X
Speech-Language Assistant
1812
ND
235Z00000X
Speech-Language Pathologist
Primary
1833
ND

Other

Enumeration date
03/01/2018
Last updated
07/17/2023
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